FORM 1023-EZ for AMERIKIND INC

Field Data
EIN 46-0997146
Case Number EO-2015205-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERIKIND INC
Organization’s Mailing Address 2725 RIVER TREE DRIVE
City DECATUR
State GA
ZIP 30034
Accounting period End 12
Primary contact name PATRICIA DIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA DIXON
PRESIDENT
2725 RIVER TREE DRIVE
DECATUR GA 30034

Officer/Director/Trustee Two

SHARON ABDAL-KHALLAQ
SECRETARY
9983 ASHFORD GREEN WAY
DOUGLASVILLE GA 30135

Officer/Director/Trustee Three

NATHANIEL RAGLAND
BOARD MEMBER
710 PEACH TREE STREET
ATLANTA GA 30308

Organization’s website WWW.AMERIKIND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2012
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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